Resident Life: Introduction
R4: Jesse Markman    |   R3: Ippolytos Kalofonos    |   R2: Elsa Haloman    |   R1: Nicole M. Fox    |    Idaho Track: Kirsten Williams
Resident Life
Jesse Markman
Fourth Year Resident
Seattle Track

Why UW Psychiatry?

“I think UW had the best combination of clinical experience ranging from psychiatric services for those who are very privileged to those with no insurance.  I’ve been able to start developing a lecture series on teaching skills with Heidi Combs and discuss future administrative projects with Ed Walker.  Never once has anyone in the department been anything but completely supportive of my endeavors.  It also helped that UW is located in a city in which I wanted to live.”

“I love teaching and have joined the Teacher Scholars Track.  This track provides a unique opportunity for residents to enhance their teaching skills by both teaching and learning collaboratively with residents and attending physicians.”

Education

BA, Psychology, Yale University
MD, University of Michigan School of Medicine
MBA, University of Michigan School of Business

Career Goals

“I am very interested in systems and organization, so I think my future will hold at least some administrative work in addition to clinical practice.  I am also drawn to teaching and have joined the Teacher Scholars Track.  I’m also looking forward to being one of the chief residents next year.  Mostly, I’m still sampling what’s out there and trying to see what I like best.”

Follow Me For A Week

Sunday
Morning:   Slept in
Afternoon:   Brunch with my boyfriend and friends on Capitol Hill, went running
Evening:   Dinner at home
     
Monday
Morning:   8:00 arrival at Harborview Medical Center for chief resident duties, see psychodynamic therapy patient
Afternoon:   Ran noon conference at Harborview. Ran Harborview Journal Club for residents, afternoon chief time, Cognitive Behavioral Therapy Supervision
Evening:   Gym, dinner with boyfriend, bad television
     
Tuesday
Morning:   7:45 arrival to Harborview Medical Center’s Outpatient Psychiatry Clinic.  Saw long-term continuity clinic patients, had case-load supervision for patients
Afternoon:   Dialectical Behavioral Therapy seminar, ran DBT skills group for patients, saw additional continuity clinic patients
Evening:   Rock climbing with friends
     
wednesday
Morning:   8:00 arrival to Harborview Medical Center for meeting with the Chief of Service and Associate Training Director
Afternoon:   Chief resident meetings at University of Washington Medical Center
Evening:   Went running, dinner, read
     
thursday
Morning:   8:00 attended R4 didactic series, T-group, Business Meeting
Afternoon:   Individual psychotherapy and dialectical behavioral therapy supervision
Evening:   Happy hour with friends, bad television
     
friday
Morning:   8:00 arrival at University of Washington Medical Center for psychiatry consults rotation in their cardiology clinic
Afternoon:   Teach problem based learning curriculum for third year medical students with the outpatient chief resident at Harborview Medical Center
Evening:   Gym, dinner with boyfriend, out on the town
     
Saturday
Morning:   Slept in
Afternoon:   Brunch with friends
Evening:   Got sign-out from day resident at UWMC, started night call
     

Clinical Rotations

Harborview Continuity Clinic

Dialectical Behavioral Therapy Clinic and Seminar

Cardiology Consult Clinic

Maternal Infant Care Consult Clinic

ECT Rotation

Chief resident and educational time

Average Weekly Hours

40 hours

Night and Weekend Duty

Average 1-2 weekend shifts per month, around 12 hours each

Psychotherapy

“Thus far in my training I have completed my supportive psychotherapy seminar, my psychodynamic therapy and my cognitive behavioral therapy seminars.  I really enjoy my psychodynamic seminar with Ann DeLancey—she is an excellent teacher and pushes us to really expand our horizons in psychodynamic formulations. I have also elected to take an advanced seminar in psychodynamic psychotherapy with Gary Grenell.  This year, I am taking the dialectical behavioral therapy seminar and have really enjoyed learning from the pioneers of this therapy.  I have a fantastic set of individual supervisors as well to further enhance my learning”

Resident Life
Ippolytos Kalofonos
Third Year Resident
Seattle Track

Why UW Psychiatry?

“I was impressed by how happy the residents seemed.  I liked the willingness of the administration to support my research interests and to help me build in time throughout the residency to pursue those interests.  There are many potential mentors I’m getting to know both in psychiatry and other UW departments.”

“The residents here are a great combination of hard-working and laid back people. I feel very well supported on the ward by the chief residents and attendings.”

Education

BA, Anthropology, Univerisity of California, San Diego
MD, UC San Francisco-UC Berkeley Joint Medical Program
PhD, Medical Anthropology, UCSF-UC Berkeley

Career Goals

“I’d like a balance of research and clinical practice. I am interested in recovery, patient-centered community mental health, peer support services, early intervention for psychosis, HIV psychiatry, global health, and medical anthropology. I’m looking at a few research fellowships to apply to for after residency.”

Follow Me For A Week

Sunday
Morning:   Go to church with my son and his godfather / my classmate Stamatis Zeris
Afternoon:   Seafood lunch with family and friends
Evening:   Relax with family
     
Monday
Morning:   Up at 6:30, on my bike by 7:15 to be at the VA ready to see patients by 8
Afternoon:   Psychopharm supervision once a month at 4
Evening:   Dinner with family
     
Tuesday
Morning:   Up at 7, on my bike by 740 to be at Harborview by 8 for the Intensive Rehabilitation Team rotation. Might see patients or go visit clients.
Afternoon:   In the Harborview International clinic
Evening:   Dinner with family
     
wednesday
Morning:   Up at 6:00, on my bike by 7:15 so I can be ready to see my 1st patient at 8 at the UW Outpatient Psychiatry Clinic.
Afternoon:   See my patient panel and get case-load supervision, CBT, and psychodynamic supervision.
Evening:   Dinner with family
     
thursday
Morning:   Up at 7, get to UWMC before 8 to get coffee and bagel and settle in for didactics, t-group, and resident business meeting.
Afternoon:   CIS
Evening:   Happy hour at my classmates’ Tom and Janet Soeprono!
     
friday
Morning:   Up at 8, get to HMC by 9 for my 1st patient in the HIV clinic.
Afternoon:   Also at the HIV Clinic
Evening:   Dinner with family
     
Saturday
All Day:   moonlighting – disability evaluations in Spanaway!
Evening:   Dinner with family
     

Clinical Rotations

VA Addictions Treatment Center

HMC Intensive Rehabilitation (ACT) Team

HMC International Clinic

Continuity Clinic

HIV Clinic

Research Elective

Peer Support Services in Anchorage, Alaska

“For my dissertation research, I collaborated with an interdisciplinary group based at University of Washington and worked in central Mozambique, looking at community dynamics around the initiation of antiretroviral therapy and the ethics of global humanitarian interventions.”

Average Weekly Hours

50 hours

Night and Weekend Duty

1 weekend/night call shift per month

Resident Life
Elsa Haloman
Second Year Resident
Seattle Track

Why UW Psychiatry?

“When looking for the right residency program for me, there were several things that made UW stand out. First was the multitude of clinical sites and the balance this brings to training. From serving the community at Harborview, to working in a university-setting at UW or dealing with the special needs of the veteran population at the VA, I was excited about the the variety of opportunities this program brings. In addition, I liked that the UW program was larger than most. Moving from out of state can be challenging, and it was important for me to have a larger support base in my co-residents. The residents seemed satisfied with the program and their quality of life, and although serious about work and education, still have a laid back vibe overall. The administration appeared to be very supportive, and they encouraged residents to pursue their interests via specialized tracks or mentoring. I was excited that this program allowed me to divide my time between medicine and pediatrics. UW has very strong programs in both, so I learned a lot from excellent attending and bright co-residents in those programs.”

Education

BS, Psychobiology, UCLA
MD, UCSD School of Medicine

Career Goals

“I envision myself as a clinician, but continuing work in academics through teaching. It is difficult to decide what will ultimately be the best fit for me, however, as I have enjoyed working with the pediatric population and am considering child and adolescent psychiatry. I am also interested in mental health issues affecting women, especially in the perinatal period.”

Follow Me For A Week

Sunday
Morning:   Attend mass, then take a stroll around my neighborhood and grab some fire-roasted bagels for breakfast. Go to a local plant sale at nearby park to get ideas for my yard.
Afternoon:   Spend time with friends, and head out to one of Seattle's many amazing restaurants for dinner (this night, a new Pho place)
Evening:   Catch up on my favorite TV shows
     
Monday
Morning:   Arrive at work at 7:45 to preround. Round with the team and see patients.
Afternoon:   Get lunch, then head out to protected time for off-site psychotherapy supervision. Return to work to complete notes and sign-out.
Evening:   Go for a run at Green Lake, make dinner, and do some reading before bed.
     
Tuesday
Morning:   Complete morning rounds and notes.
Afternoon:   Eat lunch while reading a quick chapter before outpatient clinic time with two long-term psychodynamic therapy patients. There are also two hours of psychodynamic and supportive case-load supervision with my co-residents. Done by 5:00.
Evening:   BBQ with my husband and orthopedic residents, then work on my psychodynamic case formulation assignment for didactics.
     
wednesday
Morning:   Morning rounds followed by teaching session about psycho-oncology with attending.
Afternoon:   Finish up the day's work, and read some papers about a challenging patient before leaving by 5:00.
Evening:   Grab some beers at a local pub, then head home to spend time with my husband. Before bed, read journal club article and psychodynamic seminar readings.
     
thursday
Morning:   Attend optional maternal mental health journal club at 7:00. Grab donuts and coffee from residency office before didactics at 8:00. Process group at 11:00 with my co-residents.
Afternoon:   Awesome lunch provided by the program. Attend teacher-scholar track meeting to discuss teaching methods with medical students. Arrive at the hospital around 2:00, complete short call duties and leave at 6:00.
Evening:   Gym, dinner, relax, sleep!
     
friday
Morning:   Rounds as usual.
Afternoon:   Complete work and attend evidence-based medicine seminar with on-site attendings, residents and medical students.
Evening:   Head out to Mariner's game after work with co-residents (and eat the most intense garlic fries you will ever try). After the game, a night out dancing at a local dive.
     
Saturday
Morning:   Wake up late and enjoy the morning sun with a trip to Discovery Park with my husband.
Afternoon:   Grab burgers and milk shakes at Dick's.
Evening:   Home call starting at 6:00 pm. Called in to admit 1 patient and manage some floor issues. Return home by 11:00. Enjoy a full night's rest since I was not called back in.
     

Clinical Rotations

Psychiatry consults, inpatient psychiatry, psychiatric emergency services, night float at UW and VA, and elective time (spent on the inpatient psychiatry unit at Seattle Children's Hospital).

“I couples matched with my husband, an orthopedic surgery resident. It was important for us both to have an excellent clinical experience with diverse patient populations, not just culturally, but also in clinical presentation. Serving a large geographical area including five states, UW definitely suited us both.”

Average Weekly Hours

Inpatient psychiatry: 40-50
Psychiatry consults: 40-50
Psychiatric emergency services: 40-50
Night float: variable, home call at both sites
Elective: variable


Night and Weekend Duty

6 weeks psychiatry nightfloat broken up into two 3-week blocks (or three 2-week blocks)
~24 call shifts total, with option to take 24-hour weekend call which counts as 2 shifts.

If not on call, weekends and holidays off.

Resident Life
Nicole M. Fox
First Year Resident
Seattle Track

Why UW Psychiatry?

"Having gone to both grad school and medical school in Seattle, I knew that I loved the city itself. We have amazing restaurants, theatre, open air markets, and endless outdoor activities. More importantly, I had only positive experiences with the Psychiatry faculty and residents while in medical school. We divide our time among several hospitals, one of which is Harborview Medical Center. This county hospital and Level 1 Trauma center serves our most acutely ill, socially marginalized patient and that greatly appealed to me.  Finally, in choosing a residency program, I strongly considered both strictly academic and community based programs. When I heard about the combined track in Idaho, it seemed like a rare opportunity to have the best of both worlds. Overall, my goal in residency is to become an outstanding clinician with a strong sense of mental health systems and the UW seemed to be just the right fit to achieve these goals."

Education

BA,  Theatre, University of Georgia
MPA, Seattle University
MD,  University of Washington

Follow Me For A Week

Sunday
Morning:   Wake up at 6:00. AM rounds with team. Run the list and put in orders. Call consults.
Afternoon:   Finish up notes, teaching with attending. Attending bought lunch!
Evening:   Admit 2-3 new patients, write notes. Set a goal to leave by 9pm. Out the door at 9:30pm – not bad for long call!
     
Monday
Morning:   5 year old woke up at 6 am, spoiling the plan to sleep til 7! Out the door and arrive by 7:45. Round, run the list, do orders.
Afternoon:   Notes and lunch conference. Free food. Out by 4:30 if I’m efficient.
Evening:   Pick up my family - go out for Sushi. Happy to see my little ones and husband. Ice cream after at Molly Moons- mmm Meyer Lemon.
     
Tuesday
Morning:   Out the door by 6:30. Accept new patients from overnight. Round on new patients with the team.
Afternoon:   Rounding, more orders, more notes, accept a MICU transfer patient. Open for another patient, but don’t get one!
Evening:   Out by 7! Hubby made King salmon for dinner. Read stories and put the kiddos to sleep. Eat my dinner and fall into bed. My insomnia is cured!
     
wednesday
Morning:   Wake up at 6, make tea and watch the sunrise with my dog while everyone sleeps.
Afternoon:   Take the baby on a stroller ride around Greenlake. Watch the leaves fall from the trees. Pick my son up from kindergarten.
Evening:   Catch up on the phone with mom on the East Coast. She’s glad to hear I’m alive. Make a fall harvest dinner of soup and roasted acorn squash.
     
thursday
Morning:   At work by 6:30. Meet up with night float to accept overnight patients. Round on the new patients, then see follow-ups.
Afternoon:   Find out my patient can’t have her procedure today. Work out logistics with the consulting team.
Evening:   Getting ready to go, but get a page that my patient is acutely unstable. Page my senior and we decide he needs MICU transfer. Write a quick transfer summary and head home around 8pm.
     
friday
Morning:   Call about my patient’s procedure.
Afternoon:   Try to wrap up orders and notes on my olds before I get new patients. Code is called overhead and we run. My heart stops when I hear the location- its my patient. She’s gotten a round of CPR, but the first responders quickly realized she’s DNR. She is gone. I talk to her family.
Evening:   I’m in shock, but 2 new admits are waiting in the ED. I grab the medical student and together we go assess our patients. I’m done by 10:30.
     
Saturday
Morning:   I sleep til 7, get up, kiss the family and go. The team quickly eats up scones our attending made and then rounds, followed by orders and notes. I write a condolence note to my patient’s family.
Afternoon:   Teaching with the medical student and wrap up notes. I’m out by 4.
Evening:   Join my family at the park for what has turned out to be a beautiful fall day.
     

 

Clinical Rotations

13 - 4 week blocks

Veterans Hospital Inpatient Psychiatry
(4 blocks)

Harborview Medical Center Inpatient Psychiatry (3 blocks)

Veterans Hospital Adult Neurology (1 block)

Children’s Hospital Pediatric Neurology
(1 block)

Harborview Medical Center Inpatient Medicine (1 block)

Veterans Hospital Inpatient Medicine
(1 block)

Harborview Medical Center Medicine Consults (1 block)

UW Emergency Medicine (1 block)

Career Goals

“My background is in non-profit management, strategic planning, team-building and policy. I’m still figuring out what I’m interested in within Psychiatry, but I imagine it will involve some combination of clinical practice, medical student education and policy. I also have a family, so creating work-life balance is important to me!”

Average Weekly Hours

Inpatient Psychiatry: 45-55
Medicine: 70-80
Neuro: 45
Peds Neuro: 45
ER: 70-80
Consults: 45
Night float: 65


Night and Weekend Duty

Highly variable.

Medicine and Emergency Medicine: Plan to work both weekend days on medicine and ER, with a “golden weekend”, if you are lucky! On medicine you will get 4 random days off in the month. On EM, you get more days off.

Adult neuro: one half day per weekend, twice in the month

Medicine Consults and Peds Neuro: no nights or wknds

Psychiatry: 6-8 12 hour call shifts while on inpt psych. 4 weeks of night float.

Resident Life
Kirsten Williams
Fourth Year Resident
Idaho Track

Why UW Psychiatry?

I chose the Idaho track because I wanted a broad clinical education, with extensive training in both an urban and less urban setting.  I also wanted the opportunity to work closely in consultation with primary care physicians. 

I had the experience of caring for very psychiatrically ill patients on the wards of Harborview and the University Hospital in Seattle, as well as working alongside academically and research oriented attending physicians. 

Boise offers training in providing outpatient care for an underserved population, many of whom have lived with untreated psychiatric illness for years due to limited access to care.  We also have the opportunity to provide much needed consultation to primary care residents and attendings at the Family Medicine Residency Clinic.  In my fourth year, I will work in the attending room at the clinic, directly advising family medicine residents.  Additionally, the Idaho track is a smaller group of residents and clinically oriented faculty, which I believe lends itself to stronger mentor/mentee relationships.

I have received a well-balanced education with regards to both medication management and psychotherapy in Seattle and Boise. 

Life in Boise is great!  There is a strong art and music scene, and there are endless ways to spend time outside, from hiking, to fishing, to camping, to tubing the river.  It’s an outdoor enthusiast’s paradise.

Education

BS, University of Florida, Food Science & Human Nutrition
BS, University of Florida, Spanish Literature
MD, University of Florida College of Medicine
Psychiatry Residency, University of Washington

Career Goals

“I hope to start my own practice, focusing mostly on psychotherapy with some medication management patients.”

Follow Me For A Week

Sunday
Morning:   Had brunch with a fellow resident at Café de Paris in downtown Boise.
Afternoon:   Worked out. Ran errands. Sunbathed in the backyard with my dogs.
Evening:   Practiced my guitar.  Read Kohut for the Psychoanalytic Seminar Monday morning.
     
Monday
Morning:   Psychodynamic Seminar, then my morning continuity clinic at the Family Medicine Residency.
Afternoon:   Lunch with fellow residents at an Argentinean Cafe, supervision with faculty, then work in the Wellness Behavior Clinic (short-term behavioral intervention clinic).
Evening:   Worked out then went to my guitar lesson.
     
Tuesday
Morning:   Sleep Medicine elective at St. Alphonsus Hospital.
Afternoon:   Continued Sleep Medicine elective at St. Alphonsus Hospital.
Evening:   My own personal psychotherapy.  Worked out then went to Karaoke with a fellow resident.
     
wednesday
Morning:   Supervision
Afternoon:   VA continuity clinic
Evening:   Attended “Alive After Five” with friends (a weekly, summertime community gathering downtown with live bands and food).
thursday
Morning:   T-group and didactics

Afternoon:   Continuity clinic at Boise State University
Evening:   Gym, then practiced guitar and did house chores
     
friday
Morning:   Caseload supervision
Afternoon:   Psychotherapy clinic elective
Evening:   Worked out, then a night at home watching Netflix.
     
Saturday
Morning:   Worked out
Afternoon:   Hair appointment
Evening:   Hosted a party at my house attended by fellow residents and some friends in Boise.
     

Clinical Rotations

Continuity Clinic at the VA Hospital (1 year)

Continuity Clinic/Consultation Clinic at Family Medicine Residency Center (1 year)

Inpatient Consultation to several community hospitals and the VA (6 months)

Psychotherapy Clinic Elective (6 months)

Sleep Medicine Elective (6 months)

Continuity Clinic at Boise State University
(6 months)


Average Weekly Hours

40 hours

Night and Weekend Duty

There is no call in the Boise track


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Box 356560   |   1959 NE Pacific St.   |   Seattle, WA 98195-6560   |   206.543.6577   |   psychres@uw.edu